ISPD Catheter-related Infection Recommendations: 2023 Update

Kai Ming Chow(Chinese University of Hong Kong), Philip Kam‐Tao Li(Chinese University of Hong Kong), Yeoungjee Cho(The University of Queensland), Ali K. Abu‐Alfa(Yale University), Sunita Bavanandan(Hospital Kuala Lumpur), Edwina A. Brown(Imperial College Healthcare NHS Trust), Brett Cullis(University of Cape Town), Dawn Edwards, Isabelle Éthier(Centre Hospitalier de l’Université de Montréal), Helen Hurst(University of Salford), Yasuhiko Ito(Aichi Medical University), Thyago Proença de Moraes(Pontifícia Universidade Católica do Paraná), Johann Morelle(Cliniques Universitaires Saint-Luc), Naomi Runnegar(The University of Queensland), Anjali Saxena(Santa Clara Valley Medical Center), S So(Alice Ho Miu Ling Nethersole Hospital), Na Tian(Ningxia Medical University), David W. Johnson(The University of Queensland)
Peritoneal Dialysis International
May 1, 2023
10.1177/08968608231172740
Cited by 127Open Access
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Abstract

Peritoneal dialysis (PD) catheter-related infections are important risk factors for catheter loss and peritonitis. The 2023 updated recommendations have revised and clarified definitions and classifications of exit site infection and tunnel infection. A new target for the overall exit site infection rate should be no more than 0.40 episodes per year at risk. The recommendation about topical antibiotic cream or ointment to catheter exit site has been downgraded. New recommendations include clarified suggestion of exit site dressing cover and updated antibiotic treatment duration with emphasis on early clinical monitoring to ascertain duration of therapy. In addition to catheter removal and reinsertion, other catheter interventions including external cuff removal or shaving, and exit site relocation are suggested.

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